Primary care affiliations of adults in a methadone program with onsite care

Alex Federman, Julia H. Arnsten

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Methadone maintenance treatment programs (MMTP) often provide onsite primary care. It is unclear whether patients in these settings consider the MMTP their usual source of care. We conducted cross-sectional interviews of 62 adults in an inner-city MMTP with onsite primary care to determine their usual source of care. Program enrollment ranged from 1 to 27 years (median, 4) and 63% attended >= 5 days per week. Seventy-six percent had >= 1 chronic disease. Only 53% reported having a usual source of care, which included hospital-based clinics (45%), the MMTP (23%), private physicians (19%), other sites (13%). Patients were more likely to identify the MMTP as their usual source of care if they had cardiovascular disease (RR 6.9, 95% CI 2.2 to 21.9) or HIV (RR 5.6, 95% CI 1.7 to 18.5). Successfully promoting appropriate utilization of onsite primary care may require a better understanding of MMTP patients' perceptions of primary care.

Original languageEnglish (US)
Pages (from-to)27-34
Number of pages8
JournalJournal of Addictive Diseases
Volume26
Issue number1
DOIs
StatePublished - Mar 1 2007

Fingerprint

Methadone
Primary Health Care
Therapeutics
Chronic Disease
Cardiovascular Diseases
HIV
Interviews
Physicians

Keywords

  • Continuity of care
  • Methadone maintenance treatment programs
  • Onsite care
  • Preventive care
  • Primary care

ASJC Scopus subject areas

  • Medicine (miscellaneous)

Cite this

Primary care affiliations of adults in a methadone program with onsite care. / Federman, Alex; Arnsten, Julia H.

In: Journal of Addictive Diseases, Vol. 26, No. 1, 01.03.2007, p. 27-34.

Research output: Contribution to journalArticle

@article{8ed315b9ffb548ac8475083a67a8060e,
title = "Primary care affiliations of adults in a methadone program with onsite care",
abstract = "Methadone maintenance treatment programs (MMTP) often provide onsite primary care. It is unclear whether patients in these settings consider the MMTP their usual source of care. We conducted cross-sectional interviews of 62 adults in an inner-city MMTP with onsite primary care to determine their usual source of care. Program enrollment ranged from 1 to 27 years (median, 4) and 63{\%} attended >= 5 days per week. Seventy-six percent had >= 1 chronic disease. Only 53{\%} reported having a usual source of care, which included hospital-based clinics (45{\%}), the MMTP (23{\%}), private physicians (19{\%}), other sites (13{\%}). Patients were more likely to identify the MMTP as their usual source of care if they had cardiovascular disease (RR 6.9, 95{\%} CI 2.2 to 21.9) or HIV (RR 5.6, 95{\%} CI 1.7 to 18.5). Successfully promoting appropriate utilization of onsite primary care may require a better understanding of MMTP patients' perceptions of primary care.",
keywords = "Continuity of care, Methadone maintenance treatment programs, Onsite care, Preventive care, Primary care",
author = "Alex Federman and Arnsten, {Julia H.}",
year = "2007",
month = "3",
day = "1",
doi = "10.1300/J069v26n01_04",
language = "English (US)",
volume = "26",
pages = "27--34",
journal = "Journal of Addictive Diseases",
issn = "1055-0887",
publisher = "Routledge",
number = "1",

}

TY - JOUR

T1 - Primary care affiliations of adults in a methadone program with onsite care

AU - Federman, Alex

AU - Arnsten, Julia H.

PY - 2007/3/1

Y1 - 2007/3/1

N2 - Methadone maintenance treatment programs (MMTP) often provide onsite primary care. It is unclear whether patients in these settings consider the MMTP their usual source of care. We conducted cross-sectional interviews of 62 adults in an inner-city MMTP with onsite primary care to determine their usual source of care. Program enrollment ranged from 1 to 27 years (median, 4) and 63% attended >= 5 days per week. Seventy-six percent had >= 1 chronic disease. Only 53% reported having a usual source of care, which included hospital-based clinics (45%), the MMTP (23%), private physicians (19%), other sites (13%). Patients were more likely to identify the MMTP as their usual source of care if they had cardiovascular disease (RR 6.9, 95% CI 2.2 to 21.9) or HIV (RR 5.6, 95% CI 1.7 to 18.5). Successfully promoting appropriate utilization of onsite primary care may require a better understanding of MMTP patients' perceptions of primary care.

AB - Methadone maintenance treatment programs (MMTP) often provide onsite primary care. It is unclear whether patients in these settings consider the MMTP their usual source of care. We conducted cross-sectional interviews of 62 adults in an inner-city MMTP with onsite primary care to determine their usual source of care. Program enrollment ranged from 1 to 27 years (median, 4) and 63% attended >= 5 days per week. Seventy-six percent had >= 1 chronic disease. Only 53% reported having a usual source of care, which included hospital-based clinics (45%), the MMTP (23%), private physicians (19%), other sites (13%). Patients were more likely to identify the MMTP as their usual source of care if they had cardiovascular disease (RR 6.9, 95% CI 2.2 to 21.9) or HIV (RR 5.6, 95% CI 1.7 to 18.5). Successfully promoting appropriate utilization of onsite primary care may require a better understanding of MMTP patients' perceptions of primary care.

KW - Continuity of care

KW - Methadone maintenance treatment programs

KW - Onsite care

KW - Preventive care

KW - Primary care

UR - http://www.scopus.com/inward/record.url?scp=34249084986&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34249084986&partnerID=8YFLogxK

U2 - 10.1300/J069v26n01_04

DO - 10.1300/J069v26n01_04

M3 - Article

VL - 26

SP - 27

EP - 34

JO - Journal of Addictive Diseases

JF - Journal of Addictive Diseases

SN - 1055-0887

IS - 1

ER -